ATENÇÃO AO PARTO E NASCIMENTO: boas práticas de residentes de enfermagem em uma maternidade nordestina

Abstract

Introduction: Childbirth care has evolved, although remnants of a technocratic and medical-centered model persist. Adherence to best practices in Brazil falls short of expectations. Nurse residents can contribute to changes in the care model. Objective: To evaluate the associations between best practices in childbirth care and sociodemographic and obstetric variables among parturients attended by obstetric nursing residents. Methodology: A cross-sectional study conducted with parturients assisted by residents at a public maternity hospital in northeastern Brazil. Data were collected from delivery records, newborn logbooks, and medical charts. The number of best practices received by the women was counted to constitute the outcome variable, which was associated with sociodemographic and obstetric characteristics using the Mann-Whitney U test and Kruskal-Wallis test, with Dunn’s post-hoc analysis. Results: The study included 132 parturients, all of whom received at least one best practice, with a median of 8 practices per delivery (Q1=6; Q3=9). The majority were aged between 20 and 30 years (52.3%), single (85.6%), mixed-race (53.4%), and unemployed (75.0%). Women with higher education levels received more best practices compared to those with lower education levels (p=0.008), and primiparous women received significantly more best practices than multiparous women (p=0.007). Conclusion: Best practices were widely implemented by obstetric nursing residents. The findings encourage further research and the development of public health policies and professional training programs.